Individual provider Active NPI

Mindy Myers, CCC-SLP

  • Speech-Language Pathologist
  • Newark, DE
National Provider Identifier
1487106258
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
O1-0001213 Issued in DE
Practice address
300 Biddle Ave
Suite 101
Newark, DE 19702
Phone
(302) 838-4700
NPI assigned
Oct 27, 2016
Last updated
Oct 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X O1-0001213 DE Primary

Addresses

Primary practice location

300 Biddle Ave
Suite 101
Newark, DE 19702

Mailing address

109 Hart Dr
Avondale, PA 19311-9610
Phone (610) 268-3798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180517002700 DE Practitioner - Qualified Speech Language Pathologist 7315202579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ud Health LLCGroup PAC ID 6204209034, 53 clinicians

Practice addresses (Care Compare)

540 S College Ave
Suite 102
Newark, DE 19713-1302
Phone (302) 831-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
O1-0001213DEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ud Health LLC Speech-Language Pathologist CurrentSince Jan 1, 2023 Accepting new patients
Ud Health LLC CurrentSince Jan 1, 2023 Accepting new patients
Christiana Care Health Initiatives Past Accepting new patients

Locations

540 S College Ave
Ste 102
Newark, DE 19713
Phone (302) 831-7100

540 S College Ave
Ste 130
Newark, DE 19713
Phone (302) 831-3195

540 S College Ave
Ste 160
Newark, DE 19713
Phone (302) 831-3000

Interoperability endpoints

  • Direct secure messaging: mindy.myers.p1@direct.udel.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1487106258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HART DR",
            "city": "AVONDALE",
            "state": "PA",
            "postal_code": "193119610",
            "telephone_number": "610-268-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BIDDLE AVE",
            "address_2": "SUITE 101",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19702",
            "telephone_number": "302-838-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MINDY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": "O1-0001213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.